• Turk Neurosurg · Jul 2010

    Sacroiliac joint dysfunction.

    • Hakan Ilaslan, Ahmet Arslan, Omer Nadir Koç, Turker Dalkiliç, and Sait Naderi.
    • Istanbul Medipol Hospital, Department of Neurosurgery, Istanbul, Turkey.
    • Turk Neurosurg. 2010 Jul 1; 20 (3): 398-401.

    AimSacroiliac joint dysfunction is a disorder presenting with low back and groin pain. It should be taken into consideration during the preoperative differential diagnosis of lumbar disc herniation, lumbar spinal stenosis and facet syndrome.Material And MethodsFour cases with sacroiliac dysfunction are presented. The clinical and radiological signs supported the evidence of sacroiliac dysfunction, and exact diagnosis was made after positive response to sacroiliac joint block.ResultsA percutaneous sacroiliac fixation provided pain relief in all cases. The mean VAS scores reduced from 8.2 to 2.2.ConclusionIt is concluded that sacroiliac joint dysfunction diagnosis requires a careful physical examination of the sacroiliac joints in all cases with low back and groin pain. The diagnosis is made based on positive response to the sacroiliac block. Sacroiliac fixation was found to be effective in carefully selected cases.

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